Provider Demographics
NPI:1013907799
Name:LINER, LISA (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:LINER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:CHCA EMERGENCY MED
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:100 BOWMAN DR
Practice Address - Street 2:CHCA NJ EMERGENCY MED
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9612
Practice Address - Country:US
Practice Address - Phone:856-772-0798
Practice Address - Fax:609-261-5842
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2016-02-10
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07617500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics